Associate VP Business Transformation and Clinical Innovation

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Job Information

Humana

Associate VP, Business Transformation and Clinical Innovation

in

Lancaster

South Carolina

Description

The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required to deliver an enhanced portfolio of services for our Military customers, beneficiaries, and providers by assessing potential internal and external partnerships. Working collaboratively with the Humana Military Chief Medical Officer and other Executive Committee leaders, you will design and lead multi-year transformations across various stakeholder (e.g. customer (i.e. DHA/VA), beneficiaries, providers) systems to evolve delivery and operations to support an integrated approach to health.

The AVP, Business Transformation and Clinical Innovation is a true business influencer and not an order taker, and requires an in-depth understanding of how organization capabilities interrelate across the Military segment.

The AVP, Business Transformation and Clinical Innovation must be a champion for change and continuous improvement, while maintaining strong relationships with aligned business partners and key stakeholders. You will make key decisions on the implementation of new/updated programs and large-scale projects for Humana Military that support technical/operational procedures and processes, strategic plans, and performance improvements. You will be responsible for designing multi-year approaches to our 'Convener of Care' evolution, focusing on a programmatic approach to system transformation that includes clinical, operational, and cultural drivers. This leader will also oversee and coordinate several 'Opportunity Area' growth teams, tasked with innovative experimentation acting as the conduit for transformation facilitation across various dimensions of Humana Military (e.g. market operations, claims reimbursement, clinical operations, etc.).

In addition, the AVP, Business Transformation and Clinical Innovation also advises the Humana Military senior leaders, and DHA executives on certain functional strategies related to matters of significance (e.g. clinical innovation). You will exercise independent judgment and decision making on complex issues regarding job duties and related tasks, and work under minimal supervision, using independent judgment requiring analysis of variable factors and determining the best course of action. You may also have occasion to speak with contracted external physicians, physician groups, facilities, or community groups to explore innovation concepts, and support business segment priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management.

Responsibilities

Leads, organizes, directs, manages and controls program activities and outcomes of agile teams focused on innovative transformation

programs and experiments that will deliver efficiencies and benefits to internal and external customers; directly responsible for delivering new member and provider experiences created by multiple agile teams with full decision rights of operational, experience, and development requirements.

Leads the development and ongoing refresh of Humana Military's Convener of Care strategy for business transformation, specifically focused on customer experience and provider transformations. That strategy will include a multi-year approach to transformation, inclusive of all system levers and capital funding considerations, market inputs and clinical service contributions where innovation will take place. All of this will be done in the context of the broader Convener of Care strategy.

Represent the business point of view on relevant decisions related to the identification, build-out and management of technology needed to support operational changes in line with overall transformation objectives.

Drive the development of the implementation framework, playbook, and approach for bringing the customer experience and provider transformation construct to all partner organizations and then building the organizational infrastructure and resource to support framed in Convener of Care strategy.

Identifies cross-functional complexities and resolves risks and issues.

Assesses end-to-end process performance for customer and provider journeys by collecting data from multiple sources to propose process improvement opportunities, up to and including partnership prospects;

assesses and measures ongoing impact and evaluates changes to key assumptions / planned impact.

Builds and maintains strong internal working relationships at all levels of the organization and across the Enterprise; leverages these relationships in helping to drive innovation and meaningful change

across Humana Military.

Creates the governance protocols

to document and monitor business processes, rules, requirements, metrics and standard operating procedures as a result of transformation initiatives.

Facilitates and provides improvement recommendations to operating units via innovative experiments and targeted workshops to identify and drive resolution of specific issues that are critically impacting business outcomes and require urgent resolution.

Processes and synthesizes transformation program outputs into executive-level presentations, updates, risks, mitigations, and business recommendations with ability to facilitate group discussions and debate, and influence and communicate effectively across functional lines and levels.

Develops and mentors talent across the segment; builds and maintains associate engagement and culture; fosters a diverse and inclusive work environment.

Areas Of Skill And Expertise Will Include:

Growth mindset and proven ability to lead agile/cross-functional teams

Focus on using technology to create organizational efficiencies

Work closely with the IT group as well as business unit leaders

Experience with clinical and business innovation

Strong negotiator, communicator and presenter

Ability and experience with strategy and strategic thinking

Experience leading and managing Product Managers, Program Managers and Business Analysts

Ability to set and measure OKRs and other key metrics

Experience with analysis of data and making decisions based on data

A great coach and mentor who can effectively develop those future leaders

Required Qualifications:

Bachelor's degree in related field

5 years of leadership experience

Understanding of agile concepts and/or Senior Agile Leadership skills with an ability to lead by example and challenge command and control behaviors

Excellent communication skills

Must demonstrate strategic capabilities with strengths in critical thinking and innovative problem solving skills; financial and strategic

Preferred Qualifications:

5-7 years total experience including 3-4 years of experience in management consulting or transformation

Medical health insurance industry knowledge

TRICARE industry knowledge

MBA or Masters degree

Additional Information

25-30% travel required

We will require full COVID vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve. If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com